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MAEA Online Proposal Form-07-08
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Presenter Information
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Please complete all areas of this form. Thank you!
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Spring'08
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Fall '07
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Name:
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Home Address
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Home Phone
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Work/School Address
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Work Phone
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Email
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Membership No.
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Please indicate the section and program category that is appropriate for your presentation.
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Title of Presentation
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Program Category
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Section Category
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Curriculum Concept/Program
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Elementary K-3
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Higher Education
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Media Demonstration
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Elementary 4-6
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Museum Education
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Theory and/or Research
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Supervision/Admn.
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Middle School/Jr.High
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Hands-on Workshop
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High School
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Retired Affiliate
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Other (describe /explain)
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Would you be willing to present this program/workshop more than once?
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No
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Yes
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List Show-Me Standards/GLE's addressed (ex, FA1, Goal 2.5, etc.)
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Description of Presentation ( Be brief, but as descriptive as possible)
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AV EQUIPMENT (Spring Conference Only):
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TYPE:
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TIME:
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35mm Slide Projector
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Presentation/Lecture
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60 Min
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Panel Discussion
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1 Screen
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Workshop
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Two Sessions
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Overhead Projector
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Other
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TV/VCR
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Presenter supplies Equipment not listed.
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Today's Date
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Principal Contact Information
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Principal's Name and title
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School/ Building Street/ P.O. Box City, State, Zip
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Please submit only once...there will be a delay and you will see a confirmation page. That means your proposal has been received. To clear the form or start over, use the Reset button.
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If you prefer to mail, Please print and send to: For Fall Conference 2007 at Knob Noster, mail this proposal to "Rebecca Moppin" <rmoppin@windstream.net> ,917 E. Auburn St. Bolivar, MO 65613.
For Spring Conference 2008, mail this proposal to conference program chair: Susan Elson 24675 Ingel Road Linneus MO 64653 s_r_elson@hotmail.com
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